Licensed Pharmacy Benefits Specialist

Licensed Pharmacy Benefits Specialist

Location: The Colony, TX | Onsite

COMPENSATION & SCHEDULE

• $22.00 - 24.00/hour
• Full-time, W2
• 8-hour shifts scheduled between 9:00 AM – 7:00 PM CST
• Weekend and holiday rotation required
• Start Date: August 24, 2026
• Training Schedule: Monday–Friday | 8:30 AM – 5:30 PM

ROLE IMPACT

As a Pharmacy Benefits Support Specialist, you'll play an important role in helping patients and pharmacy partners navigate prescription benefit questions and claim-related concerns. You'll provide timely, accurate support while ensuring compliance with healthcare regulations and delivering an exceptional customer experience. Success in this role is driven by strong communication, attention to detail, and the ability to resolve issues efficiently in a fast-paced environment.

KEY RESPONSIBILITIES

• Respond to patient and pharmacy inquiries by phone, email, and chat.
• Investigate and resolve prescription claim issues, benefit questions, and coverage concerns.
• Process prior authorization and benefit-related requests while accurately documenting activity within internal systems.
• Educate patients on pharmacy benefits, coverage options, and required next steps.
• Escalate complex cases to the appropriate internal departments to ensure timely resolution.

MINIMUM QUALIFICATIONS

• Active Pharmacy Technician license required.
• 3+ years of previous experience supporting pharmacy benefits, healthcare claims, or insurance verification.
• Familiarity with CRM, ticketing, or case management platforms.
• Bilingual language skills are a plus.
• High school diploma or GED required.
• Employee must obtain PTCB or ExCPT certification within six (6) months of hire if not currently certified.
• Strong communication, customer service, and problem-solving skills.
• Ability to work effectively in a high-volume, team-oriented environment.

CORE SKILLS & EXPERIENCE

• Pharmacy benefits and insurance verification
• Prescription claims review and issue resolution
• Prior authorization support
• Healthcare documentation and case management systems
• HIPAA compliance and patient confidentiality
• Phone, email, and chat-based customer support

LEGAL NOTICE

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